sebelius. they gaveled in at 9:00 a.m. >> rose just over 9% in the past nine years. this secretary, what does data tell us about health care law since the a.c.a. became law? >> well, congresswoman, you're right. in the last three years since the president signed the affordable care act, we've seen a great slowdown in the extraordinary cost increases year in and year out for health care. and the medicare plan and medicaid plan and private insurance and in underlying health care costs which affect every american. some of that has to do with some of the features that are currently in place around different care delivery and different payment systems that we are helping to drive given the tools we have with the affordable care act. more quality outcomes, trying to prevent hospital readmissions, looking at hospital-acquired infections, medical homes that prevent people in the first place or help them stay healthy in their own homes and in their own places. >> so it's true that the surance costs are